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Spiritual experiences can be clinically relevant and are not always captured in standard symptom measures. The Spiritual Occurrences and Spiritual Struggles Scale (SOSS) is a brief self-report measure designed to assess perceived spiritual experiences and related difficulties across several domains of spiritual connection.
The instrument contains 18 items and typically takes about 4 minutes to complete. Items ask respondents to rate the intensity or frequency of experiences that may involve connection to transcendent or personally meaningful sources (e.g., the divine, nature, humanity, or the self), emphasizing subjective experience rather than doctrinal belief. The Spiritual Occurrences and Spiritual Struggles Scale (SOSS), by Ralph W. Hood Jr., may be used in clinical or research contexts to characterize spiritual experience as part of a broader psychosocial assessment and to support monitoring of change over time when clinically indicated.